Bbis Practice Mgmt System Administrator

Central City Concern is an innovative nonprofit agency providing comprehensive services to single adults and families in the Portland metro area who are impacted by homelessness, poverty and addictions. We hire people that are skilled and passionate to meet our mission to end homelessness through outcome-based strategies which support personal and community transformation.

Practice Management System Administrator isakey memberofthe Billing and Business Information System Dept. This role supports and improves organizational information issues and requirements by analyzing requirements; designing business processes that maximize systems to provide business metrics, training as needed and measurements for dashboard reporting. Primary functions will be to support & train BBIS staff for Revenue Cycle Management, electronic claims submissions and remittance acceptance/reconciliation, reporting and other billing related operational efficiencies.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Manage the Practice Management (PM) database for payors, clearinghouse services, fee schedules, procedures, and other billing related functions.
• Manage new group and program requests for implementation in to Practice Management and related clinical information systems.
• Identify and remedy billing issues resulting from the transactions in the billing system in an efficient and timely manner.
• Work with IT/IS Department and OCHIN to ensure the PM system is upgraded and maintained to achieve and support our Agency goals.
• Improves systems by studying current practices, designing modifications and updates settings.
• Analyze recommended and planned reporting changes and identify potential opportunities and challenges in the recommendations as well as evaluating whether the potential change can be done within the current data structure.
• Coordinate with vendors to interface with the PM system for related transactions in conjunction with IT\EHR Dept.
• Provide necessarybilling system training for all billing staff members.
• Works closely with BBIS Director on projects that directly affect the efficiency of the Business Office. Determine operational objectives by studying business functions; gathering information by studying process flow and evaluating users; evaluating output requirements and formats.
• Monitors project progress by tracking activity; resolving problems; publishing progress reports; recommending actions.
• Responsible for management of EDI response management & functionality, resolving problems to ensure payer requirements are maintained.
• Supports BBIS staff requests for Practice Management & electronic health record systems including system functionality issues, system use, billing problems and system documentation questions.
• Documents changes to data in the current structure in collaboration with BBIS, IT/IS Department and follow the changes through to development.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access. This includes immediate reporting of any PHI breach of CCC or outside provider health records to the CCC Legal and Quality departments, as well as to the program administrator.
• Provides references for BBIS users by writing and maintaining user documentation; providing help desk support; training BBIS users.
• Identifies new compliance risk areas and/or opportunities to improve revenue in response to changes in federal and/or state laws, regulations and guidance.
• Researches and maintains up-to-date knowledge of coding guidelines billing regulations.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
• Collaborates with BBIS Director, BBIS Revenue Cycle Manager and BBIS Supervisors to review system performance (including productivity and quality) and other related issues in an effort to increase work output, improve quality, maximize effective use of PM claim edits, minimize EDI clearinghouse edits and ultimately increase collections.
• Develop a strong understanding of the source systems that pass data to agency reporting systems, the relationships within the data and how the data is used. Uses this knowledge to identify errors, correct the data and collaborate with Managers.
• Performs all duties deemed necessary as requested by the BBIS Director.

SKILLS AND ABILITIES:

• Experience with Billing Information System implementation is desired with a focus on working independently in a team environment.
• Experience working with large data sets from a medical billing system and providing tools for end users to better manage the core business while performing daily critical business functions.
• Proficient knowledge of general medical billing and collections processes preferred.
• Proficiency with software packages for data analysis.
• Excellent working knowledge of all Microsoft Office products (Access, Excel, Outlook, PowerPoint, and Word) and proficient internet research skills.
• Contributes to team effort by accomplishing related results as needed.

MINIMUM QUALIFICATIONS

• Bachelor's degree preferred.
• 4 years experience in Revenue Cycle and Billing Integrity in amedicalenvironment is required.
• Experience with Epic is preferred.
• Two or more years of experience in reporting or data analytics that has experience/knowledge within the medical billing insurance field.
• Effective communication skills for accurate, concise, and organized verbal and written communication.
• Great interpersonal skills and ability to build professional relationships.
• Effective organizational, time management and planning skills.
• Knowledge of Windows based office technologies (i.e. Word, Excel, etc.).
• Proven ability to analyze financial information.
• Sufficient manual dexterity and physical ability to perform duties.
• Must pass pre-employment drug screen, TB Test and background check.
• Must be able to bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects and climb stairs.
• Must adhere to agency’s policies.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliations, cultural backgrounds, life-styles, and sexual orientations and treat each individual with respect and dignity.

Benefits at Central City Concern are offered to our employees!

Central City Concern offers incredible benefits to our employees. We offer an extensive total rewards package to includes base wages, medical, dental, vision, and voluntary plans. Central City Concern also takes employees’ financial wellness into consideration and provides a rich retirement match.

• Generous paid time off plan beginning at 4 weeks of PTO accrual per year!  Accrual amount/rate increases with longevity.
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• 11 paid Holidays + 2 Personal Holidays to be used at the employee’s discretion.
• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer Paid Life, Short-Term Disability, AND Long-Term Disability Insurance!
• Sabbatical Program offering extended time off at years 7, 14, and 21.

This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all duties, responsibilities, and qualifications required for the position.

As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, and pre-employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.   

CCC values and celebrates diversity in race, heritage, ethnicity, gender identity and expression, sexual orientation, religion, age, and disability. We are an Equal Opportunity Employer and we prioritize active inclusion of diverse staff.

Central City Concern is a second-chance employer and complies with applicable laws regarding the consideration of criminal background for employment purposes. Government regulations, contractual requirements, or the duties of this particular job may require CCC to conduct a background check and take appropriate action to address prior criminal convictions.

EQUAL OPPORTUNITY EMPLOYER